Hernias come in different forms and locations in the abdomen. Some have lower risk of complications while others require immediate care. All symptomatic hernias will eventually need to be repaired surgically – the operative word here is symptomatic. Why? Because not all hernias cause noticeable problems. For the purposes of this blog, we will primarily focus on inguinal or groin hernias; the most commonly repaired defects in the United States and around the world. About 90 to 95% of inguinal hernias occur in men, but only a small proportion become symptomatic and require treatment. As a result, it is estimated that upwards of 25% of men have or will have an inguinal hernia but only a small portion of them will ever know it.
Gallbladder removal, also known as a cholecystectomy, is a very common surgical procedure in the United States and around the world. Millions of people have their gallbladders removed either due to disease or symptomatic gallstones. In the hands of an experienced surgeon, the risks of having a gallbladder removed are very, very small. However, gallbladder surgery is major surgery and requires proper post-operative care to minimize discomfort and make recovery easier and smoother.
The insurance process can vary between patients and insurance companies…even policies, but rarely is the process a short one. First, patients and providers are like have to deal with insurance companies that are pressed for time and may not be able to handle requests in a timely manner. Unfortunately, this is just a byproduct are the inefficiencies of the insurance market combined with the massive volume of preapprovals that need to be generated each and every day.
Further, the insurance company wants to be entirely sure that the procedure in question is medically necessary. Of course, this is not the case for emergency procedures which require immediate care. Other very straightforward procedure such as gallbladder removal or hernia repair also have fewer variables than bariatric surgery.
Well, it’s the last two days of my pre-op bariatric diet and I have to say that I’m both excited and a little sad to see it come to an end. This journey has shown me that when you have goals, you can be a lot more disciplined than you ever thought. Most of the office staff that joined me on this pre-op diet journey has seen it through – we had one or two dropouts, but that is to be expected! It’s not easy, but I’m really happy with how far we’ve all come.
We’ve updated our blog post on the cost of diabetes as it has been almost a decade since broaching the topic! The statistics we used from back in 2007, courtesy of the American Diabetes Association, pegged the total cost of diagnosed diabetes treatment in the US at that time at about $174 billion – this included direct and indirect costs. Staggering by all accounts.
The same organization estimates that in 2017 that cost is now $327 billion. It’s almost impossible to imagine how devastating to our society this disease truly is. To put that in context, the Centers for Disease Control (CDC) estimates that more than 30 million
Americans have diabetes (about 1 in 4 don’t know it) and over 84 million Americans have pre-diabetes (9 of 10 don’t know they have it). About 4000 people are diagnosed with diabetes each day and many of these patients are younger than ever before. The Center for disease control estimates that in 2050 one in three US adults (CDC estimate) is expected to have the condition.
Menu Day 9
- Breakfast – protein shake plus hot tea and water through the morning
- Lunch – fat free cream of chicken soup
- Snack – 40 calorie ice pop
- Dinner – protein shake, avocado, hot tea and chicken broth
- 8 PM – protein shake
- Water – 48oz and two cups of tea
I’m really liking my low fat or fat free cream of chicken soup as you can probably see. I look forward to my soup, but everyone is different. You may want to change up the kind of soup you have over the course of the two weeks. Just be sure to follow the requirements of the diet. After surgery, it’ll be slightly different – you will not be satisfied with only one or two dishes every day. So, to prepare for the long-term, it’s helpful to test out some of your culinary creativity during this program!
We know that the risk of developing a hernia is greater when abnormal pressure is placed on the abdominal wall. And rarely is more pressure placed on the abdomen than during pregnancy. Indeed, during this time there is a risk of a midline or umbilical hernia developing.
The first 48 hours on a liquid diet is the most challenging. You will be very hungry until your body induces ketosis. Ketosis occurs when the amount of carbohydrate fuel (fuel that is needed to run the body) drops below a critical level, forcing the body to turn first to protein and then fat reserves to do the work carbohydrates normally do. You must drink 64-96 ounces of water daily to remove the waste products in the blood stream.
Hi, my name is Kathy Kapner and I’m the bariatric coordinator here at Advanced Surgical Associates. One of our patients’ biggest concerns is their diet before and after bariatric surgery. I am not a bariatric surgery patient, but I do want to show you what to expect. So, today I’m starting the 2-week pre-op diet. I’m going to document my progress with 4 blog entries plus the one you are reading now.